I recently excised an aggressive skin cancer from a patient’s temple. It was complicated by the fact that it was right over a branch of the facial nerve that moves the forehead. Also, because of the limited mobility of the skin in this area, multiple small flaps had to be used to close the defect. Postoperatively, the patient was able to move his forehead, and the “pinwheel flap” produced an excellent closure. I will be posting the final result at a later date.